| NPI | 1114355450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL 60277293) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 15046) |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2013-10-24 |